Charge & Billing Edit Reconciliation Supervisor (Medicine)

University of Maryland Emergency Medicine•Baltimore, MD

About The Position

In conjunction with and under the general supervision of the Director, Professional Fees, the Supervisor, Charge & Billing Edit Reconciliation (SCBER) will provide general oversight of the charge entry, and charge and billing edits reconciliation processes within the Department of Medicine Billing Office (DOMBO) to ensure the submission of clean claims. General oversight includes, but not limited to, supervision of charge entry functions and team members, ensuring appropriate staffing structure to support achievement of monthly/quarterly/yearly charge budget metrics, review and resolution of front-end billing (TES & CM edits), completion of charge corrections, developing cross-training amongst team members, identifying process improvements that optimize all front-end charge entry functions to foster submission of clean claims, and are in alignment with the Department of Medicine’s (DOM) front-end key performance indicators (KPIs). The SCBER will collaborate with the Department of Medicine Billing Operations Team that includes key representatives from Coding, Revenue Operations, and Business Integrity to identify, assess, propose, develop, and implement front-end charge capture and reconciliation initiatives that support and are in alignment with the Department of Medicine’s front-end KPIs and facilitate the submission of clean claims. The SCBER will have a very granular understanding of all key front-end charge capture aspects in the DOMBO and become a subject matter expert in that area. This position will collaborate with others to identify process improvements and efficiency opportunities in all areas of the revenue cycle, making recommendations to the Operations Team and/or Director. This position will be expected to effectively communicate with Faculty Practice, Incorporated (FPI) Practice Operations and Quality Assurance team members, Practice Association Leadership, Division Administrators, and/or their delegates, and all other internal and external customers.

Requirements

2-5 years of charge entry, billing edit and/or medical practice billing and/or healthcare revenue cycle experience.
Strong knowledge of CPT and ICD-10 coding guidelines is required and ability to pass a coding proficiency test (if not a CPC).

Nice To Haves

High school diploma or general education degree (GED) preferred.
College experience in related field i.e. business or healthcare etc., preferred.
1-2 years of supervisory or lead experience, preferred, in any industry.
Certified Professional Coder (CPC), preferred.

Responsibilities

Provide general oversight of the charge entry, and charge and billing edits reconciliation processes within the Department of Medicine Billing Office (DOMBO).
Supervise charge entry functions and team members.
Ensure appropriate staffing structure to support achievement of monthly/quarterly/yearly charge budget metrics.
Review and resolve front-end billing (TES & CM edits).
Complete charge corrections.
Develop cross-training amongst team members.
Identify process improvements that optimize all front-end charge entry functions.
Collaborate with the Department of Medicine Billing Operations Team to identify, assess, propose, develop, and implement front-end charge capture and reconciliation initiatives.
Become a subject matter expert in front-end charge capture aspects in the DOMBO.
Collaborate with others to identify process improvements and efficiency opportunities in all areas of the revenue cycle.
Make recommendations to the Operations Team and/or Director.
Effectively communicate with Faculty Practice, Incorporated (FPI) Practice Operations and Quality Assurance team members, Practice Association Leadership, Division Administrators, and/or their delegates, and all other internal and external customers.